MEDICARE: ANGELA FOX

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1659787562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA FOX

Provider Business Mailing Address
First Line	:	135 MERCHANT ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45246-3735
Country	:	US
Telephone Number	:	513-252-0248
Fax Number	:

Provider Business Practice Location Address
First Line	:	135 MERCHANT ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45246-3735
Country	:	US
Telephone Number	:	513-252-0248
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2014
Last Update Date	:	10/02/2024

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Directions to “ ANGELA FOX ” Practice Location

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